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Sarah Noonan

Pronouns

She/Her/Hers

Job Title

Research Assistant I

Academic Rank

Department

Medicine

Authors

Sarah H. Noonan, JoAnn Cho, Ronen Rozenblum, Richard Fay, Heather J. Baer

Principal Investigator

Heather J. Baer

Research Category: Cardiovascular, Diabetes, and Metabolic Disorders

Tags

Patient and Provider Attitudes about an Online Weight Management Program: A Qualitative Analysis

Scientific Abstract

Background: PROPS 2.0 (Partnerships for Reducing Overweight and Obesity with Patient-Centered Strategies 2.0) implements an online weight management program with personalized coaching and additional patient navigator support, in a diverse cross-section of patients and providers at Brigham and Women’s Hospital (BWH). We conducted interviews to obtain feedback about the program before implementation.

Methods: We conducted semi-structured interviews with 15 patients and 15 providers at BWH, which were recorded and transcribed. Interviews focused on experience with weight management programs and tools, current practices around management of overweight and obesity, and overall attitudes about the program. We performed a qualitative analysis of the transcripts to identify important themes.

Results: Both groups expressed positive views about the program. Some providers raised concerns about the online program and stated that the program would be unsuccessful without support from clinical or non-clinical staff members. Almost all providers noted that they would like to receive updates about patients’ progress through the electronic health record or email. Patients mentioned a lack of success in previous online weight management programs and stigma in clinical settings. Both groups felt that support from patient navigators would be critical for patients. This feedback guided the design of the PROPS 2.0 program.

Lay Abstract

Introduction: This project, PROPS 2.0 (Partnerships for Reducing Overweight and Obesity with Patient-Centered Strategies 2.0), will combine an online weight management program with live, one-on-on coaching and support from patient navigators at Brigham and Women’s Hospital (BWH). We interviewed patients and providers for feedback about the program.

Methods: We interviewed 15 patients and 15 providers at BWH. We asked about weight management program and tools, current practices around management of overweight and obesity, and overall attitudes about the program.

Results: Both groups had positive opinions about the program. A few providers worried about the online program and stated that human support would be important for its success. Providers also discussed wanting to be involved in the program and be updated about patients’ progress. Patients described their lack of success in previous weight management programs and that they faced stigma in clinical settings. Patients and providers thought that patient navigator support would be helpful for patients, and that those who are not tech-savvy may not benefit from the program. These comments helped us refine the PROPS 2.0 program.

Clinical Implications

Patients’ and providers’ feedback was used to refine the PROPS 2.0 program, which will impact the management of overweight and obesity at Brigham and Women’s Hospital and more broadly, through online and live support.